Becker’s Payer Issues Podcast
Becker's Healthcare
The Becker's Payer Issues Podcast is the must-listen podcast exclusively created for health insurance executives. Two new 15-minute episodes are released weekly with the leaders who shape health insurance in America and the cost of care, policy and regula
Episodes
Mentioned books
Apr 5, 2024 • 8min
CMS finalizes 2025 MA rates + more
Tune in for today's industry updates.
Apr 4, 2024 • 16min
Unlocking Growth: How Insourcing Credentialing Drove Surprising Benefits for Humana
Tune into this episode featuring Rehan Mirza , Chief Growth Officer at Verifiable, and Dara McDaniel, Associate Director of Credentialing at Humana. Dara and Rehan share insights on credentialing outside of patient safety and compliance, new approaches to leverage technology and much more.This episode is sponsored by Verifiable.
Apr 3, 2024 • 9min
AI-Driven Engagement: How Tech is Transforming Member Care Navigation
Amanda L. Bury, Chief Commercial Officer at Infermedica, shares insights on AI-driven member engagement and care navigation in healthcare. They discuss challenges, opportunities, and real-world examples of using AI tools to improve care journeys and outcomes. The podcast explores the role of AI in enhancing value-based care and member satisfaction.
Apr 2, 2024 • 11min
Part 2 - Supporting Complex Diabetes Care in 2024: Challenges, Opportunities, and a Look Ahead
In this episode, Dr. Bloom returns to discuss the specific challenges and opportunities in supporting preventive care for patients with complex diabetes. We explore how value-based care models can align with best practices in this area, and what future shifts we can expect as chronic disease prevalence rises. Dr. Bloom also shares his insights on exciting developments in caring for this population.This episode is sponsored by Podimetrics.
Apr 1, 2024 • 6min
Lawmakers set date for UnitedHealth CEO hearing + more
Tune in for today's industry updates.
Mar 29, 2024 • 6min
Taming the Tide: How Payers Can Leverage Care Management for Chronic Disease
Dr. Sam Toney, CEO of Toney Healthcare, discusses leveraging care management for chronic diseases. Topics include technology in patient care, psychosocial determinants of health, and personalized interventions for positive outcomes.
Mar 28, 2024 • 5min
Biden cracks down on junk plans + more
Tune in for today's industry updates.
Mar 28, 2024 • 19min
Unlocking Payer Growth: Overcoming Barriers and Embracing Tech
Exploring challenges and opportunities for payers to boost growth and improve member experiences, including navigating new technologies and reducing costs. Topics include merging clinical and business aspects, leveraging technological advancements like OCR and NLP, optimizing data initiatives for member engagement, and lessons from the payer community's transformation journey.
Mar 27, 2024 • 19min
Star Strategies: Improving Medicare Ratings with Provider Data
Industry experts Will Shrank and Jill Hummel discuss strategies to enhance Medicare Star Ratings using provider data, emphasizing the significance of Star Ratings for health plans and the crucial role of accurate provider data in improving member experience. Topics include the impact of Star Ratings on revenue, the importance of quality improvement programs, provider data accuracy, and prioritizing patient care and member experience.
Mar 25, 2024 • 10min
Change to begin processing claims + more
Tune in for today's industry updates.
